Individual
ELAINE G HEADRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
911 E. 20TH ST, STE 200, SIOUX FALLS, SD 57105-1044
(605) 322-3455
(605) 322-3456
Mailing address
2400 S. MINNESOTA AVE, STE 100, SIOUX FALLS, SD 57105-3762
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0271
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007481
BLUE CROSS
SD
05
—
0585661
—
IA
01
—
0701587
MEDICA
SD
05
—
10025120100
—
NE
01
—
1194219
ARAZ/ AMERICA'S PPO
SD
01
—
140309
UCARE
MN
01
—
230278
MIDLANDS CHOICE
SD
01
—
28563
SANFORD HEALTH PLAN
SD
01
—
370624200
DEPT OF LABOR
SD
01
—
500016956
RR MEDICARE
SD
01
—
57105E002
WPS TRICARE
SD
05
—
579152900
—
MN
01
—
67B26HE
CC SYSTEMS/ BLUE PLUS
MN
05
—
6826982
—
SD
01
—
9240518
DAKOTACARE
SD
01
—
AH1451026885
PREFERRED ONE
SD
01
—
HP37108
HEALTHPARTNERS
SD
Enumeration date
02/27/2006
Last updated
12/20/2013
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